Moore, Jennifer E
Moore, Jennifer E is an sole proprietor health care provider with primary practice located at 3870 Liscott Rd , Southaven MS 38672-6780. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Moore, Jennifer E can be contacted via phone (702) 533-2259.Contact Information
Primary practice address
3870 Liscott Rd
Southaven MS 38672-6780
Phone: (702) 533-2259
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | LDN0000001086 | Tennessee |
Profile Details
| NPI number | 1023271962 |
|---|---|
| LBN Legal business name | Moore, Jennifer E |
| Credentials | MS, RDN, LDN, CSR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2008 |
| Last updated | Jan 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023271962 | NPPES |
| Mississippi | Other | 0853 | LICENSE |
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